Detection of serum creatinine 40 in patients with myasthenia gravis
summary
Drug treatment, although this treatment method can temporarily alleviate the disease, but long-term medication will lead to the destruction of acetylcholine receptor in the body, which makes the disease more stubborn and difficult to heal. Some patients will find cholinergic crisis due to overdose of drugs, and some patients will find various toxic and side effects due to taking hormones. This method can not fundamentally get effective treatment . So, in life, we should pay attention to it, the following is about myasthenia gravis patients check biochemical creatinine 40.
Detection of serum creatinine 40 in patients with myasthenia gravis
Examination 1: TCM treatment of myasthenia gravis has been paid more and more attention. Myasthenia gravis belongs to the category of flaccidity. See neurology.
Examination 2: acetylcholinesterase inhibitor test, simple and easy, is widely used in the diagnosis of myasthenia gravis. Intravenous administration of etophenamine chloride had an effect in a few seconds and lasted only a few minutes. Intravenous injection of 1-2mg of the drug was observed for 15 seconds. If there was no adverse reaction within 30 seconds, the remaining 8-9mg was injected. To evaluate drug response, one or more symptoms should be tested objectively, such as blepharoptosis, extraocular myasthenia or limb and trunk myasthenia. Neostigmine, an anti cholinesterase drug, can also be used. Generally, 0.5-1.0mg neostigmine is injected intramuscularly. It takes the most effect in about 30 minutes and lasts for about 2 hours. Some patients may have cholinergic side effects, mainly including: muscle tremor, flushing, vomiting. Patients with heart disease should be cautious, because it can cause bradycardia, atrioventricular block, cardiac arrest, etc. These cholinergic side effects can be antagonized by atropine.
Check 3: tengxilong test, because the effect disappeared after 20 minutes, it is safe to use. 10mg was dissolved in 10ml normal saline, 2mg was injected intravenously first, 8mg was injected after no discomfort, and the injection was finished in half a minute. After a few minutes, the myasthenia crisis was first improved and then worsened, the cholinergic crisis was aggravated, and the reverse depression crisis was not improved.
matters needing attention
I would also like to emphasize that myasthenia is called "flaccidity syndrome" in traditional Chinese medicine. The causes are classified into five categories, namely lung heat and fluid injury, dampness heat immersion, spleen and stomach weakness, liver and kidney deficiency, blood deficiency and blood stasis. However, these pathogenesis are independent and interrelated. TCM has made a detailed syndrome differentiation in theory. At the same time, it is guided by the principles of clearing lung and nourishing Yin, regulating liver and kidney, strengthening tendons and bones, harmonizing spleen and stomach, Qi and blood, etc.